| NPI | 1346339561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NM MD2007-0642) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NC 57121) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2015-08-19 |